Inspection of 25 April 2024 — Inspection Report
Regulation 19 — Health, welfare and development of child
- In the Toddler Room the inspector observed staff attempting to wake up 2 children who were asleep on floor mats. The children were displaying obvious signs that they wanted to continue to sleep for example lying back down on the mat and going back to sleep. When questioned the staff member stated to the inspector that “that the parents request it”. No documentary evidence of a child led sleep care plan or consultation with parents on the children’s individual sleep needs was available for inspection
Provider's corrective action:
- The service has notified parents that we are no longer allowed to facilitate children being woken early without written request signed by the parent. Written permission will be sought from any parent requesting children to be woken early and kept on the child’s file. Summary Comment The registered provider submitted details of the corrective and preventative actions taken in the service to address the non-compliance. Based on this information the non-compliance under Regulation 19 has been addressed. Implementation and sustainment of the corrective and preventive actions will be assessed at the next inspection
Regulation 20 — Facilities for rest and play
- (1)(b) There were instances were sleep facilities were found to be inadequate for example, in the sleep room off the Baby Room one cot mattress was ill-fitting, and footholds were present, which is a potential safety hazard
Provider's corrective action:
- The mattress in the cot has been replaced with a new mattress. Staff have been retrained on safe sleep practices (how to identify a foot hold) and they carry out daily risk checks to ensure there are no foot hold in each cot
Regulation 23 — Safeguarding health, safety and welfare of child
- The Inspectorate was not assured that adequate steps had been taken to ensure the health, safety and welfare of the pre-school children attending the service for the following reasons: General Safety: 1. Visibility strips were not present on the glass patio doors in the Baby and Toddler Rooms. This is a safety risk. Infection Control: 2. In the Toddler Room, when questioned, the staff reported that a chlorine-based cleaning product and cold water was being used to clean soothers, mouthed toys and some equipment. This is at variance with best practice guidelines. In addition, the services cleaning routines policy incorrectly details that hot water and a chlorine-based product is used to clean mouthed toys. 3. The pedal operated lidded bin in the sanitary area between the Baby and Toddler Rooms was broken and staff were observed to use their hands to lift the lid of the bin after handwashing. This is a cross infection risk. Safe Sleep: 4. In the Baby Room during sleep time sleep observations were not always documented by the staff member carrying out the physical observation e.g. one staff member who was providing relief in the care room was observed to document the 10 minute physical sleep observations which was carried out by another staff member. Action submitted by the Registered Provider
Provider's corrective action:
- 1. Visibility tape has been applied to the windows in question. A check for the visibility tape is now part of our morning safety checks. Observation is also used and if noticed that there is a problem during the working day it is addressed. 2. All staff have been retrained to know that we first wash in hot soapy water and then sterilise using Milton/Sterilising product made using cold water as per product instructions. The typing error in the policy has been corrected to read as per these instructions. Staff have been retrained and the policy has been reissued. Manager/Person in charge is carrying out unannounced spot checks to ensure the practice is adhered to. 3. On the day of inspection, the bin lid was incorrectly fitted after the bin had been emptied. This was corrected on the day. All staff have been trained on how to assemble the bin properly. Manager/person in charge will carry out spot checks to ensure this practice is in place. 4. The paperwork is now completed by the person who performs the physical check and not the other staff member in the room. All staff have been informed that the person who performs the check is to complete the paperwork
Found compliant: Regulation 9, 11, 22, 26, 28.